Provider Demographics
NPI:1124260450
Name:COLORADO SPIRIT ADULT DAY CARE
Entity type:Organization
Organization Name:COLORADO SPIRIT ADULT DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DILRABO
Authorized Official - Middle Name:
Authorized Official - Last Name:ASIMOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-745-3344
Mailing Address - Street 1:10610 E. BETHANY DR.
Mailing Address - Street 2:
Mailing Address - City:AUZORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014
Mailing Address - Country:US
Mailing Address - Phone:303-745-3344
Mailing Address - Fax:303-745-1409
Practice Address - Street 1:10610 E. BETHANY DR.
Practice Address - Street 2:
Practice Address - City:AUZORA
Practice Address - State:CO
Practice Address - Zip Code:80014
Practice Address - Country:US
Practice Address - Phone:303-745-3344
Practice Address - Fax:303-745-1409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care